Organization Active NPI

Mission Cardiovascular Consultants

  • Vascular Surgery Physician
  • New Braunfels, TX
National Provider Identifier
1194852418
Registry record updated Sep 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
Q1864 Issued in TX
Legal business name
MISSION CARDIOVASCULAR CONSULTANTS
Practice address
1626 Common St
New Braunfels, TX 78130-3156
Phone
(830) 620-1272
Fax
(830) 620-1274
NPI assigned
Feb 27, 2007
Last updated
Sep 11, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Darla Betts
Title
Office Adminstrator
Phone
(830) 620-1272

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X Q1864 TX Primary

Addresses

Primary practice location

1626 Common St
New Braunfels, TX 78130-3156

Mailing address

PO Box 949
La Grange, TX 78945-0949
Phone (830) 620-1272

Other identifiers 1

IdentifierTypeStateIssuer
079747402MedicaidTX

Other names 1

  • NEW BRAUNFELS CARDIOLOGY Other name

National Provider Directory

National Provider Directory

Locations

41651 FM 3159
#B
Canyon Lake, TX 78133
Phone (830) 620-1272

12315 Judson Rd
Ste 304
Live Oak, TX 78233
Phone (210) 477-5248

1626 E Common St
New Braunfels, TX 78130
Phone (830) 620-1272

730 N Houston Ave
New Braunfels, TX 78130
Phone (830) 620-4540

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505088000000",
    "number": "1194852418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 949",
            "city": "LA GRANGE",
            "state": "TX",
            "postal_code": "789450949",
            "telephone_number": "830-620-1272",
            "fax_number": "830-620-1274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1626 COMMON ST",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781303156",
            "telephone_number": "830-620-1272",
            "fax_number": "830-620-1274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION CARDIOVASCULAR CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2017-09-11",
        "status": "A",
        "authorized_official_last_name": "BETTS",
        "authorized_official_first_name": "DARLA",
        "authorized_official_title_or_position": "OFFICE ADMINSTRATOR",
        "authorized_official_telephone_number": "830-620-1272",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "TX",
            "license": "Q1864",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "079747402",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NEW BRAUNFELS CARDIOLOGY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New Braunfels, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.